Provider Demographics
NPI:1568190544
Name:CUTLER, SUSAN CROSBY (RN CDCES)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:CROSBY
Last Name:CUTLER
Suffix:
Gender:F
Credentials:RN CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1140 E 3900 S STE 390
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-1256
Mailing Address - Country:US
Mailing Address - Phone:801-743-4700
Mailing Address - Fax:801-743-4705
Practice Address - Street 1:1140 E 3900 S STE 390
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-1256
Practice Address - Country:US
Practice Address - Phone:801-743-4700
Practice Address - Fax:801-743-4705
Is Sole Proprietor?:No
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT20700766163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator